A member asked:

If "imuran" fail to help a patient that has ulcerative colitis , so, what is the next plan for treating , is it coloctomy ?

4 doctors weighed in across 2 answers

Other meds: Other effective medications are available for the treatment of ulcerative colitis which avoid having a colectomy. It is best to have a gastroenterologist manage these patients.

Answered 2/5/2014

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Other drugs: If you are failing imuran (azathioprine), (azathioprine) there are several possibilities. (a) you can have your levels checked. Perhaps you need to go up on the imuran (azathioprine). (b) switch to Methotrexate (c) try Infliximab or adalimumab. Depending on where you uc is located, you might be a candidate for Mesalamine enemas, but that would only be valuable if you only have left-sided disease.

Answered 10/3/2015

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